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Open Enrollment and 2019 CalPERS Health Benefit Changes to Plans and/or Regions

Posted on September 6, 2018


2018 Open Enrollment for Members

Open Enrollment starts September 10 and ends October 5.  Changes made during Open Enrollment take effect January 1, 2019.  More Open Enrollment information is available on the CalPERS website.

2019 Benefit Changes to Plans and/or Regions

Changes to health plans may impact your decision during Open Enrollment. Listed below are the health plan changes for 2019.

For questions regarding available networks or providers, you may contact your health plan directly or use the Health Plan search by Zip Code tool (use your home zip code or the City zip code – 94901).

Plan Name Changes
Anthem HMO Select No longer offering UC Davis medical group (UC Davis will still be available through Anthem Blue Cross Traditional, Blue Shield Access+, and UnitedHealthcare.)
Blue Shield Access+ Withdrawing from eight Bay Area counties for state and public agencies:

  • Alameda
  • Contra Costa
  • Marin
  • San Francisco
  • San Mateo
  • Santa Clara
  • Solano
  • Sonoma

Members must choose a different health plan during Open Enrollment.

Health Net SmartCare Withdrawing from the Sacramento Region for state and public agencies:

  • El Dorado
  • Placer
  • Sacramento
  • Yolo

Members must choose a different health plan during Open Enrollment.

PERSCare Co-payment for urgent care & specialist office visits will increase from $20 to $35.
PERS Choice Co-payment for urgent care & specialist office visits will increase from $20 to $35.
PERS Select Changing to value-based insurance design (VBID). Personal Doctor visit co- payment will decrease to $10; all other co-payments will increase from $20 to $35.
UnitedHealthcare Withdrawing from:

  • Bay Area Region (public agencies only)
  • Other Northern Region (public agencies only)

Members must choose a different health plan during Open Enrollment.

 

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